TAN ANTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048633

License Status

NOT RENEWED

Business

First Name

TAN

Last Name

ANTON

Suffix

Business Name

TAN ANTON MD

Original Issue Date

02/05/1974

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/06/2008